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Designing a Health Strategy at Local Level: A Conceptual Framework for Local Governments

This article addresses a gap in the literature regarding the design and implementation of health and well-being strategies by local governments. It presents a conceptual framework that can help local governments to include health and well-being among their political priorities by promoting the parti...

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Detalles Bibliográficos
Autores principales: Santinha, Gonçalo, Fernandes, Alexandre, Oliveira, Rafaela, Rocha, Nelson Pacheco
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10341049/
https://www.ncbi.nlm.nih.gov/pubmed/37444098
http://dx.doi.org/10.3390/ijerph20136250
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author Santinha, Gonçalo
Fernandes, Alexandre
Oliveira, Rafaela
Rocha, Nelson Pacheco
author_facet Santinha, Gonçalo
Fernandes, Alexandre
Oliveira, Rafaela
Rocha, Nelson Pacheco
author_sort Santinha, Gonçalo
collection PubMed
description This article addresses a gap in the literature regarding the design and implementation of health and well-being strategies by local governments. It presents a conceptual framework that can help local governments to include health and well-being among their political priorities by promoting the participation of local stakeholders and the community in general. The article also highlights the important role that local governments play in public health, especially in times of crisis, such as the COVID-19 pandemic. To demonstrate the approach, the manuscript explores the recent shift toward decentralization in Portugal and the resulting emphasis on local governments leading new approaches to health governance. The planning process for Arouca’s Health Strategy, an inland municipality, is used as a case study to demonstrate the approach, which emphasizes the meaningful participation of the entire local community. The article concludes by noting that there is still significant room for improvement in all areas related to health and well-being and a need to adopt new multistakeholder governance arrangements to sustain the institutional capacity for upcoming strategies.
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spelling pubmed-103410492023-07-14 Designing a Health Strategy at Local Level: A Conceptual Framework for Local Governments Santinha, Gonçalo Fernandes, Alexandre Oliveira, Rafaela Rocha, Nelson Pacheco Int J Environ Res Public Health Article This article addresses a gap in the literature regarding the design and implementation of health and well-being strategies by local governments. It presents a conceptual framework that can help local governments to include health and well-being among their political priorities by promoting the participation of local stakeholders and the community in general. The article also highlights the important role that local governments play in public health, especially in times of crisis, such as the COVID-19 pandemic. To demonstrate the approach, the manuscript explores the recent shift toward decentralization in Portugal and the resulting emphasis on local governments leading new approaches to health governance. The planning process for Arouca’s Health Strategy, an inland municipality, is used as a case study to demonstrate the approach, which emphasizes the meaningful participation of the entire local community. The article concludes by noting that there is still significant room for improvement in all areas related to health and well-being and a need to adopt new multistakeholder governance arrangements to sustain the institutional capacity for upcoming strategies. MDPI 2023-06-29 /pmc/articles/PMC10341049/ /pubmed/37444098 http://dx.doi.org/10.3390/ijerph20136250 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Santinha, Gonçalo
Fernandes, Alexandre
Oliveira, Rafaela
Rocha, Nelson Pacheco
Designing a Health Strategy at Local Level: A Conceptual Framework for Local Governments
title Designing a Health Strategy at Local Level: A Conceptual Framework for Local Governments
title_full Designing a Health Strategy at Local Level: A Conceptual Framework for Local Governments
title_fullStr Designing a Health Strategy at Local Level: A Conceptual Framework for Local Governments
title_full_unstemmed Designing a Health Strategy at Local Level: A Conceptual Framework for Local Governments
title_short Designing a Health Strategy at Local Level: A Conceptual Framework for Local Governments
title_sort designing a health strategy at local level: a conceptual framework for local governments
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10341049/
https://www.ncbi.nlm.nih.gov/pubmed/37444098
http://dx.doi.org/10.3390/ijerph20136250
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